Spinal Cord Injury: Talking With Your Partner About Sex

Topic Overview

Talking with your partner may help your sexual function, whether it
be erection problems for men or lack of arousal for women. Couples often
wrongly assume that they each know what the other person likes when it comes to
sex, but likes and dislikes may change after a
spinal cord injury (SCI).

Talk about how the SCI has affected your sexual
function and sex life, and talk about how you feel about it. Be open, honest, and
respectful.

Don't assume. Tell your partner what you do and don't
find pleasurable.

Make time outside of the bedroom to talk about
your sex life together. If you withdraw sexually because of body image, fear of
erection problems, or fear of not satisfying your partner, he or she may worry
that you are no longer interested. In some cases, you may find that your
partner is less concerned about intercourse and is more concerned and
interested in foreplay and other forms of sexual satisfaction. Discuss the
strong and weak points of the whole relationship, not just the sexual
relationship.

Identify positive areas, areas of conflict, and
areas that need improvement. Come to agreement on how or if you will both make
changes.

If you have difficulty discussing sex with your partner,
see a person who can help facilitate communication, such as a certified
therapist.

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